Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26A, Belgrade, Serbia.
Health Promot Int. 2019 Aug 1;34(4):770-778. doi: 10.1093/heapro/day028.
Internet is important resource of health-related information and health services. Factors associated with higher level of online health (eHealth) literacy among adolescence have been understudied. The aim of this study was to assess psychometric properties of the eHealth Literacy Scale (eHEALS) in Serbian language and to evaluate eHealth literacy among adolescents in Serbia. The study was carried out in four high schools in Belgrade, Serbia in the period December 2016 to January 2017. A total of 702 students comprised the study sample. The eHEALS was translated according to internationally accepted methodology and its psychometric properties were analyzed. The Cronbach's alpha coefficient for the entire eHEALS was 0.849. On exploratory factor analysis we obtained two-factorial structure. Our adolescents reported low confidence in knowing what health resources are available online. High confidence was observed for knowing how to use and how to find health information online. There was no difference in eHEALS score between genders or between school years. After adjustment for gender, type of school program, parental marital status, fathers' education level and household income, being female was associated with higher eHealth literacy (B = 1.12, 95% confidence interval 0.07-2.18; p = 0.036). Serbian version of the eHEALS is a valid instrument in assessment of online health literacy and can be further used in evaluation of eHealth literacy in other population groups in Serbian language. It is advised that some classes in school are dedicated to appraisal and use of online health websites. This could be achieved through peer-education.
互联网是健康相关信息和卫生服务的重要资源。与青少年更高水平的网络健康（电子健康）素养相关的因素尚未得到充分研究。本研究旨在评估塞尔维亚语电子健康素养量表（eHEALS）的心理测量特性，并评估塞尔维亚青少年的电子健康素养。该研究于 2016 年 12 月至 2017 年 1 月在塞尔维亚贝尔格莱德的四所高中进行。共有 702 名学生组成了研究样本。eHEALS 根据国际公认的方法进行了翻译，并对其心理测量特性进行了分析。整个 eHEALS 的克朗巴赫α系数为 0.849。在探索性因素分析中，我们得到了两因素结构。我们的青少年对在线可获得的健康资源的了解信心较低。对如何在线使用和查找健康信息有较高的信心。eHEALS 评分在性别或年级之间没有差异。在校正性别、学校项目类型、父母婚姻状况、父亲教育水平和家庭收入后，女性与更高的电子健康素养相关（B=1.12，95%置信区间 0.07-2.18；p=0.036）。塞尔维亚语版的 eHEALS 是评估在线健康素养的有效工具，可进一步用于评估塞尔维亚语其他人群的电子健康素养。建议在学校开设一些课程，专门评估和使用在线健康网站。这可以通过同伴教育来实现。
